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Surgical Aspects of Digestive Disorders

Surgical Aspects of Digestive Disorders


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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: CHAPTER VIII THE BILE PASSAGES Ik a consideration of disease of the bile passages, there are two questions which present themselves at once: ? (a) /Shall we operate f and (V How shall we operate f To the first of these questions let us turn ourselves in this chapter, and to reach a conclusion in the matter let us take up some of the text-book details and make a study of conditions. At the outset we insist that much of the prevailing phraseology is misleading. Writers continually talk about disease of the gallbladder and gall-stone disease, ? phrases well enough so far as they go, but they do not tell the whole story. Even Mayo Robson, in the various editions of his well-known book, uses the title, Gallbladder and Bile-ducts. The classical word cholelithiasis is equally misleading. We are discussing disease of the bile passages, of a system of passages. The gallbladder is but a part of the system; cholelithiasis is but one manifestation, though an important one, of the disease. We have to deal with infection, inflammation, stone formation, suppuration, ulceration, cicatrization, stenosis, perforation, fistula formation, adhesions, peritonitis, local or general, malignant changes, and the involvement of other organs. In viewing carefully this complex process, one sees that the confusing and involved, many-titled investigation quickly resolves itself into the study of one broad, progressive, and far-reaching problem. The first and most important fact in connection with disease of the bile passages for the practitioner to appreciate is that the underlying cause is an infection: and the method of that infection is worth considering, ? although, indeed, writers are not as yet altogether in accord as to what that method may be. Certain facts, however, are t...


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Product Details
  • ISBN-13: 9781458856005
  • Publisher: General Books
  • Publisher Imprint: General Books
  • Height: 246 mm
  • No of Pages: 106
  • Spine Width: 6 mm
  • Width: 189 mm
  • ISBN-10: 1458856003
  • Publisher Date: 01 Feb 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 204 gr


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